FORM 1023-EZ for BLACK MOMS OF SUBURBIA

Field Data
EIN 85-1498982
Case Number EO-2020174-000381
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLACK MOMS OF SUBURBIA
Organization’s Mailing Address 16309 CULLEN PARK WAY
City PROSPER
State TX
ZIP 75078
Accounting period End 12
Primary contact name KEENA ARIAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEENA ARIAS
PRESIDENT
16309 CULLEN PARK WAY
PROSPER TX 75078

Officer/Director/Trustee Two

DR DEVIN LAYTON
TREASURER
216 HARWICKE
SPRINGFIELD PA 19064

Officer/Director/Trustee Three

KEVIN WATSON
VICE PRESIDENT
607 W 191 ST APT 57
NEW YORK NY 10040

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEENA ARIAS
Signature Title PRESIDENT
Signature Date 6/20/2020

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